SVT
What do you want to do for a prolonged QT wave?
Fix the medications that causes it
What does the nurse want to do with Adenosine?
Push fast with flush
What is the treatment of heart failure?
Diuretics
Pril
ARBS
Beta blocker
What are adverse effects of Milrinone?
Hypokalemia
Cardiac dysrhythmia's
Elevated LFTS
What do patients taking digoxin want to avoid?
High fiber food
What is the cause of SVT?
Congenital Heart Disease
Mitral Valve Disease
Smokers
Post cardiac surgery
What does adenosine do?
Stops the heart for 10 seconds
What do you want to mointor with Ace inhibitors?
Creatine
Hyperkalemia
What is a normal Digoxin level?
.5-2.0
How do low levels of potassium affect digoxin?
Increased risk of toxicity
What doesn't SVT have?
No p- wave
Symptoms of right sided heart failure?
Distention in jugular veins
Weight gain/edema
Ascites
Fatigue
What is a normal EF?
50-70%
What is critical level of digoxin?
above 2.4
When is digoxin used in heart failure?
As a last resort
What are non-pharm managements for SVT?
Vagal Maneuvers (Bear down)
Carotid massage
Ice on the face
What are signs of Left sided heart failure?
Dyspnea
Cough
Crackles/Wheezing
Cyanosis
Change in LOC
Pulmonary Edema
Fatigue
Orthopnea
What is Phosphodiesterase (Milrinone) used for?
Severe heart failure
What are signs of toxicity of digoxin?
confusion
seizures
halo lights
N/V
Hyperkalemia
What do you want to give to children who have Congenital Heart Disease or Kawasaki Disease before dental procedures and why?
Amoxicillin
It can cause endocarditis
What is the medication for SVT?
Flecainide
Adenosine
What are some nursing assessment for left-sided heart failure?
Listening to lungs
work of breathing
positioning
What does Milrinone do?
Increase perfusion to the kidneys
What does the nurse want to do before giving digoxin?
Apical pulse for 1 minute
What drug don't you take with grapefruit juice?
Amiodarone